Provider Demographics
NPI:1942805627
Name:SAYERS, ADELYN (COTA)
Entity type:Individual
Prefix:
First Name:ADELYN
Middle Name:
Last Name:SAYERS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:ADELYN
Other - Middle Name:GRACE
Other - Last Name:SHISLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1423 W ARDMORE DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9425 N NEVADA ST STE 211
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-5014
Practice Address - Country:US
Practice Address - Phone:509-270-0065
Practice Address - Fax:509-319-2520
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC61089615225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAOC61089615OtherCOTA